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This apartment is for...

Me Someone Else

Your Full Name:

Occupant Name:

APARTMENT INFO

How Many Units Do You Need?

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What Type Of Dwelling?

Apartment / Condo Townhome House

Size Of Unit:

Studio / Single 1 Bedroom / 1 Bath 2 Bedroom / 1 Bath 2 Bedroom / 2 Bath 3 Bedroom 4 Bedroom Other

Other:

Prefer A Furnished Unit?

Yes No Flexible

Prefer Housewares Included?
(linens, dishes, etc)

Yes No Flexible

RATE AND RENT INFO

Your Monthly Rental Range:

FROM$2200$2300$2400$2500$2600$2700$2800$2900$3000$3100$3200$3300$3400$3500$3600$3700$3800$3900$4000$4100$4200$4300$4400$4500$4600$4700$4800$4900$5000$5100$5200$5300$5400$5500$5600$5700$5800$5900$6000$6100$6200$6300$6400$6500$6600$6700$6800$6900$7000$7100$7200$7300$7400$7500$8000$9000$10000$11000 TO$2200$2300$2400$2500$2600$2700$2800$2900$3000$3100$3200$3300$3400$3500$3600$3700$3800$3900$4000$4100$4200$4300$4400$4500$4600$4700$4800$4900$5000$5100$5200$5300$5400$5500$5600$5700$5800$5900$6000$6100$6200$6300$6400$6500$6600$6700$6800$6900$7000$7100$7200$7300$7400$7500$8000$9000$10000$11000$12000

Max Nightly Rate (30 day stay max):

N/A$85$100$125$150$175$200$225$250$275$300$325$350$375$400$425$450$475$500$525$550$575$600$625$650$675$700$725$750$775$800

LEASE DETAILS

Who Will Sign The Lease?

Me Someone Else

Number Of Persons Staying:

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Estimated Move In Date:

Estimated Length Of Stay:

----DAYS---- 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days 8 Days 9 Days 10 Days 11 Days 12 Days 13 Days 14 Days 15 Days 16 Days 17 Days 18 Days 19 Days 20 Days 21 Days 22 Days 23 Days 24 Days 25 Days 26 Days 27 Days 28 Days 29 Days 30 Days ----WEEKS---- 1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks 9 Weeks 10 Weeks 11 Weeks 12 Weeks 13 Weeks 14 Weeks 15 Weeks 16 Weeks ----MONTHS---- 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months 12 Months

Possible That You May Stay Longer?

No Yes

Would you consider a 3 month lease for a lower rate?

No Yes

Would you consider a 6 month lease for a lower rate?

No Yes

What's the purpose of your stay?

Business / Work Pleasure / Visit Relocation / Moving Medical School / Training Other

Will You Bring Any Pets?

No Yes

Specify What Kind Of Pets You'll Bring:

Cat (declawed) Cat (Not declawed) Small dog (20 lbs and below) Medium dog (21 to 35 lbs) Large dog (36 to 60 lbs) Largest dog (60+ lbs)

If bringing other pets, specify:

How many pets will you bring?

 

 

AMENITIES AND FEATURES

Are You Familar With The Chicago Area?

No Yes

Pick which amenities are important and/or mandatory:

Not Required	Important	Mandantory	Amenity Type
			Security building
			1 Car Parking
			2 Car Parking
			Secure / Covered Parking
			Tennis Court
			Fitness Center / Gym
			Swimming Pool
			Maid Service
			High Speed Internet Included
			Business Center
			Conference Room
			Non-Smoking Unit
			Washer/Dryer In Unit
			Washer/Dryer Hookup In Unit
			Wheelchair Access

Do you have children?

No Yes

List their ages.

Additional Requests or Comments:

CONTACT INFO

Your Email:

Your Primary Phone:

Your Secondary Phone:

Your Mobile Phone:

Your Fax:

City / State or Country